Individual provider Active NPI

Ricardo Lopez Lopez, MD

  • General Practice Physician
  • Hatillo, PR
National Provider Identifier
1528130952
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14057 Issued in PR
Practice address
Carretera 492 KM 2.9
Barrio Carcovada
Hatillo, PR 00659
Phone
(787) 820-0542
Fax
(787) 820-0542
NPI assigned
Nov 14, 2006
Last updated
Jul 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14057 PR Primary

Addresses

Primary practice location

Carretera 492 KM 2.9
Barrio Carcovada
Hatillo, PR 00659

Mailing address

PO Box 141408
Arecibo, PR 00614-1408
Phone (787) 449-8488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040701001654 PR Practitioner - General Practice 7214914712 Practice locations: Hatillo, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carretera 492 KM 2
Hatillo, PR 00659
Phone (787) 820-0542

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14057PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Julric Med C.S.P Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1528130952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141408",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006141408",
            "telephone_number": "787-449-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 492 KM 2.9",
            "address_2": "BARRIO CARCOVADA",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659",
            "telephone_number": "787-820-0542",
            "fax_number": "787-820-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ LOPEZ",
        "first_name": "RICARDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hatillo, PR

Sources for this page

Verify at the official NPI Registry.